Information Collection

State Agency Directors/SFA Directors (State, Local, and Tribal Government)

IC 223919 under ICR 201610-0584-003 · OMB 0584-0620.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment B 7 - SFA Survey Follow-up Telephone ScriptFINAL.docx	Other-Attachment B.7: SFA Survey Fol
Attachment B 8 - State Survey Follow-up Telephone ScriptFINAL.docx	Other-Attachment B.8: State Survey F
Attachment B.9 - Paper State Survey Final.docx	Other-Attachment B.9: Paper State Ag
Attachment B.10 - Paper SFA Survey Final.docx	Other-Attachment B.10: Paper School
Attachment B.11 - Web State Survey (Screenshots) Final.docx	Other-Attachment B.11: State Survey
Attachment B.12 - Web SFA Survey (Screenshots) Final.docx	Other-Attachment B.12: SFA Survey (W
Attachment B 1 - Advance Notice to State DirectorsFINAL2.docx Attachment B.1: Advance Notice to State Directors	IC Document
Attachment B 1 1 - State Study OverviewFINAL.docx Attachment B.1.1: State Study Overview	IC Document
Attachment B 1 2 - State Study FAQFINAL.docx Attachment B.1.2: State Study FAQ	IC Document
Attachment B 1 3 - State Study Brochure2 FINAL.pdf Attachment B.1.3: State Study Brochure	IC Document
Attachment B 2 - Advance Notice to SFA DirectorsFINAL.docx Attachment B.2: Advance Notice to SFA Directors	IC Document
Attachment B 2 1 - SFA Study OverviewFINAL.docx Attachment B.2.1: SFA Study Overview	IC Document
Attachment B 2 2 - SFA Study FAQFINAL.docx Attachment B.2.2: SFA Study FAQ	IC Document
Attachment B 2 3 - SFA Study Brochure2FINAL.pdf Attachment B.2.3: SFA Study Brochure	IC Document
Attachment B 3 - SFA Survey Email InvitationFINAL.docx Attachment B.3: SFA Survey Invitation	IC Document
Attachment B 4 - State Survey Email InvitationFINAL.docx Attachment B.4: State Agency Survey Email Invitation	IC Document
Attachment B 5 - SFA Survey Email ReminderFINAL.docx Attachment B.5: SFA Survey Email Reminder	IC Document
Attachment B 6 - State Survey Email ReminderFINAL.docx Attachment B.6: State Survey Email Reminder	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

State Agency Directors/SFA Directors (State, Local, and Tribal Government)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Attachment B.7: SFA Survey Follow-Up Telephone Script	Attachment B 7 - SFA Survey Follow-up Telephone ScriptFINAL.docx	No		Paper Only
Other-Attachment B.8: State Survey Follow-Up Telephone Script	Attachment B 8 - State Survey Follow-up Telephone ScriptFINAL.docx	No		Paper Only
Other-Attachment B.9: Paper State Agency Survey	Attachment B.9 - Paper State Survey Final.docx	No		Paper Only
Other-Attachment B.10: Paper School Food Authority Survey	Attachment B.10 - Paper SFA Survey Final.docx	No		Paper Only
Other-Attachment B.11: State Survey (Web Screenshots)	Attachment B.11 - Web State Survey (Screenshots) Final.docx	Yes	Yes	Fillable Fileable
Other-Attachment B.12: SFA Survey (Web Screenshots)	Attachment B.12 - Web SFA Survey (Screenshots) Final.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title: FNS-8 USDA/FNS Studies and Reports

FR Citation: 56 FR 19078

Number of Respondents: 2,580

Number of Respondents for Small Entity: 2,198

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 14 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,012	9,012
Annual IC Time Burden (Hours)	2,552	2,552
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment B.1: Advance Notice to State Directors	Attachment B 1 - Advance Notice to State DirectorsFINAL2.docx	10/13/2016
Attachment B.1.1: State Study Overview	Attachment B 1 1 - State Study OverviewFINAL.docx	10/13/2016
Attachment B.1.2: State Study FAQ	Attachment B 1 2 - State Study FAQFINAL.docx	10/13/2016
Attachment B.1.3: State Study Brochure	Attachment B 1 3 - State Study Brochure2 FINAL.pdf	10/13/2016
Attachment B.2: Advance Notice to SFA Directors	Attachment B 2 - Advance Notice to SFA DirectorsFINAL.docx	10/13/2016
Attachment B.2.1: SFA Study Overview	Attachment B 2 1 - SFA Study OverviewFINAL.docx	10/13/2016
Attachment B.2.2: SFA Study FAQ	Attachment B 2 2 - SFA Study FAQFINAL.docx	10/13/2016
Attachment B.2.3: SFA Study Brochure	Attachment B 2 3 - SFA Study Brochure2FINAL.pdf	10/13/2016
Attachment B.3: SFA Survey Invitation	Attachment B 3 - SFA Survey Email InvitationFINAL.docx	10/13/2016
Attachment B.4: State Agency Survey Email Invitation	Attachment B 4 - State Survey Email InvitationFINAL.docx	10/13/2016
Attachment B.5: SFA Survey Email Reminder	Attachment B 5 - SFA Survey Email ReminderFINAL.docx	10/13/2016
Attachment B.6: State Survey Email Reminder	Attachment B 6 - State Survey Email ReminderFINAL.docx	10/13/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.